Individual provider Active NPI

Robert K Chow, MD

  • Dermatology Physician
  • Burien, WA
National Provider Identifier
1184733024
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00037378 Issued in WA
Practice address
13512 Ambaum Blvd SW # 100
Burien, WA 98146-3168
Phone
(206) 324-7546
Fax
(206) 324-7547
NPI assigned
Aug 30, 2006
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00037378 WA Primary

Addresses

Primary practice location

13512 Ambaum Blvd SW # 100
Burien, WA 98146-3168

Mailing address

13512 Ambaum Blvd SW # 100
Burien, WA 98146-3168
Phone (206) 324-7546

Other identifiers 3

IdentifierTypeStateIssuer
1124262MedicaidWA
5354CHOtherWABLUESHIELD REGENCE
912177610OtherWACOMMERCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000321 WA Practitioner - Dermatology 7618869611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kansas School of Med (KC/Wich/Sal), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert K Chow MD PSGroup PAC ID 5294627287, 2 clinicians

Practice addresses (Care Compare)

13512 Ambaum Blvd SW
Suite 100
Burien, WA 98146-3244
Phone (206) 324-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of skin lesions2614
Removal or shaving of skin growth1-10
Skin biopsy451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00037378WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert K Chow, MD P.S. Dermatology CurrentSince May 30, 2002 Accepting new patients

Locations

13512 Ambaum Blvd SW
#100
Burien, WA 98146
Phone (206) 324-7546

13512 Ambaum Blvd SW
Ste 100
Burien, WA 98146
Phone (206) 324-7546

4509 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 228-4520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1184733024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 AMBAUM BLVD SW # 100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463168",
            "telephone_number": "206-324-7546",
            "fax_number": "206-324-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 AMBAUM BLVD SW # 100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463168",
            "telephone_number": "206-324-7546",
            "fax_number": "206-324-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00037378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124262",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD REGENCE",
            "identifier": "5354CH",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "912177610",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.